Individual
ASHLEY CELINE TETIALI SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 AUSTIN ST STE 200, FOREST HILLS, NY 11375-4739
(718) 762-7633
Mailing address
1880 VALENTINE AVE APT 403, BRONX, NY 10457-3818
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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